Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 202520 | LA |
NPI | 1083843346 |
---|---|
Provider Name | Kiran S Choudhry |
First Address | Columbia, MO 65205-7687 |
Second Address | Columbia, MO 65201-6986 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 17/08/2011 |